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Home My WebLink About2002- P05505 - addn/remodel/repair alarm system PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P05505 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remodel/Repair (952) 249-4600 Date Issued: 8/27/2002 SITE ADDRESS: 2040 Wayzata Blvd W Long Lake,MN 55356 PID: 34-118-23-21-0036 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Permit Class: Building Census Code 434 Permit Type: Addition/Remodel/Repair Permit Sub-type(s): Alarm System DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: T.11 A R u...i.av�v. ♦v a�I,i�.v. FEE SUMMARY: Permit Fee: $ 153.25 Valuation: $ 7,500.00 Plan Review Fee: $ 99.58 State Surcharge Fee: $ 4.25 TOTAL FEE: $ 257.08 APPLICANT: Wheels Security OWNER: Orono Housing&Redevelopment Authority 728 63rd Avenue NE. 2750 Kelley Pkwy Fridley,MN 55432 Crystal Bay,MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. ,r)AM-y. 1,14-Le.A APPLICANT PERMITEE SIGNATURE 1 ISSUED BY SIGNATURE Conies: 1-File(Si&nitures Required), 1-Applicant, 1-Monthly Reports. 1-Assessing. 1-Finance Page 1 07/7-9/2002 07: 29 612-5020574 WHEELIS SECURITY PAGE 02 J14l•18.2002 09:20am From-CITY OF ORONO DCb (,+15t2414516 1-1H P.002/003 F-167 VJ V Total Fee: $ . G� � ,'D C1 Da Received: •J 556' Entered By: �� Permit#: r F / i y / z. i 2 G CITY OF ORONO - =MING PERMIT APPLICATION All information must be submitted In full before plan review will be started. (please print all information) THE APPLICANT IS; (circle one) OWNER O ONTRACTOR JOB SITE ADDRESS: O-ROr'O 1)3( C S F) ZIP: 5`6--a 5 to 0 w Z �4 ►"31 V O. relrl NAME OF OWNER: .. PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP:. CONTRACTOR: L J 3 i) PHONE: 7C0(8•5-cia..C3$g' I CONTACT PERSON: SARIN t,oN 1.:-r S_MOBILE/PAGER: ( ' - O' •as-6 l MAILING ADDRESS: n 403 rc1 INUG N.E• CITY: F(I 01-e t ZIP: 55'1 3 a STATE LICENSE: # CC.Q. I 03S- ARCHITECT/ENGINEER: 35ARCHITECT/ENGINEER: PHONE: _ MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION/ TYPE OF WORK: Ncw X Addition Accessory Structure Move Remodel/Alteration Land Alteration _ PROPOSED WORK(describe in detail): )fl rA(.L F+(2.6P''t J Q'y1 1-kQ )O(-L 1 OCT 'ZU%lx: irwe - STORIES: P�"S- /' 6rngnT ,FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED VALUATION $ '-1 50O . eh "F‘2E- Amo r.,. I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be In conformance with the ordinances and codes of the City and with the State Building Code; that I understand this is not a permit and work is not to start without a permit; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: "_c � DATE: NOTE., Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. cik--51 7 / -2- /02 �. (r ' .) Pe,fri5 /Le + .' ay 1=.U4 . vent psW►eA.'t Goa. ftn4, • 07/1Z/20E12 07:29 G12-5020574 WHEELIS SECURITY PAGE 03 Jul-13-2002 09:20am From-CITY OF ORONO +1622404818 T-838 P.003/003 F-95? See,13.O4 RIGHTS OF SUBJECTS O9'DATA Subd. 1. Type or data_ The righu of Individual on whom the data is scored or to be stored well be as set forth In this section. Subd.I. Informetioa required to be given individual. An individual asked to woply private or confidential data ooaoorniag huaself shall be ipfornhed of; (a)the purpose and intended use of the ragoetted dela Within the colkctittg trate agency, pen tai subdivisioo.or statewide system ;b)whether he may refuse or is legally required to supply the requested data:Co.)any blown consequence arising from his stupplying or refusing to sapply private or confidential data and(d)the idenmy of ether persons or entices authotixed by stale or federal law to receive the dxta. This requiremont shill not apply when an individual is asked to sapply Uwesegadve data.pursuant to section 1312, subdivision S. to a law enforcement officer.' The cornmiea one f of rends n]av Duces the nonce rocattred under s _ANivlSbn in the individue iscpzugg.tar oreecnv_tax refund instructions instead of og dinselstmrtts. Subd.3. Access to data by individual. Upon request to a itsponsibe authority,art individual shill be informed whether ho is rho subject of stored data on lydivlduals,and whether it is classified as public,prltate or con(4cnlia,. Upon Isis further request,an tndtvldual who is the subject of stored private or public data on Individuals shall be shown the acts without any charge to hint and.'if he desires,shall be informed of the contour and miming of that data. After an individual has been shown the prime data and informed of its meaning,the data need sot be disclosed to him for alt months thereafter unless a disputa or acnon pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making.ccreifying.sad compiling the copies. The responsible authority shall comply immediately,if possible, with any request made pursuant to this subdivision,or within five days of the data of the request,excluding Saturdays.Sundays and legal holidays.if immediate compliance is riot possible. tf be cannot comply whh the mull; withut that time, he shall so hsform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays, Sundays and legal holldayl. Subd.4. Procedure when data is not eccurote or complete. An individual may eontest the accuracy or completeness of public orprivale data concerning himself. To exercise this right,an individual shall notfy in writing the responsible authority describing the mate of the disagreenseer. The responsible authority shell within 30 days either: (a)correct the data found to be inaccurate or incomplete and stumps to notify pear recipients of inaccurate or Incomplete data,including acipicnta named by the indiviCual;or(b)monis the individual that he believes the data to be correct. Data rr dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The deunnieadon of the responsible auOhoRty may be appealed pursuant to the provisions of tJte adtrunisrramro procedure act relating to contested ootids. DADA PRIVACY ADVJSQRY In accordance with M.S. 13.04, Subd. 2. "Rights of iubjecta of data", we would like to inform you that your request for a permit or license from the City of Orono or any of its departments may require you to fumiab certain private or confidential information. You are notified that: 1. The information you furnish will be used to determine your qualification for the permit or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the permit or license. 3. The information may be shared with other local, state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. o. Your full name is required to process this application or permit. M 21 First Middle Last -fa s( rcl RUG r)•E. _ .MMO Address _ i0 _ Mn +3a 762.3 •dea o I City State Zip phone understand my rights as stated above. ti Signeare